Florida’s Advocate for Long Term Care
Providers and the Elders They Serve

Facts About Long Term Care In Florida

Florida nursing homes are serving increasingly diverse patient base and providing a greater variety of acute care, rehabilitative and convalescent services that cannot be delivered elsewhere.

Key Facts

  • There are 684 nursing homes in Florida, representing 83,229 beds
  • The estimated number of residents is 72,000 (roughly 85% occupancy at any given time)
  • There are 3,042 licensed ALFs in Florida, representing 85,000 beds.
  • The median annual cost of care for a semi-private room in a nursing home is $87,600.*
  • The median annual cost of care for a a private room in a nursing home is $91,615*
  • The median annual cost for care for a private room in an assisted living is $36,000.*
  • Nearly 40 percent of long term care spending is paid for by private funds.
  • Medicare, which covers rehabilitation services after an individual is discharged from a hospital, pays for 19 percent of all long term care spending.
  • Medicaid, which covers health care costs for low-income individuals, pays for approximately 60 percent of all long-term care spending.
  • Accounting for about 40 percent of total expenditures on nursing facilities, Medicaid's payments cover the care of more than half of all nursing home residents.
  • Medicare patients have short rehabilitative stays – 33 days average
  • Medicaid and private pay patients have long lengths of stay – 386 days average
  • Florida has one of the lowest over-65 population to nursing home population ratio in the country
  • Medicaid patient days have declined from a high of 17.2 million days in 2004 down to 15.5 million days in 2009
  • Nursing home expenditures account for less than 15% of the overall Medicaid budget; this is down from 19% in 2001
  • Quality Trends

A typical 100-bed skilled nursing care center that mirrors national averages will serve more total individuals coming from the hospital for short-stay, post-acute care (189) than for long term care (86).
The dependence level of individuals being taken care of in skilled nursing centers is increasing. Nearly all (95.2 percent) Medicare admissions to skilled nursing care centers require assistance with four or five activities of daily living. In response to the increasing needs of the persons served, direct caregiving hours are on the rise.
From 2008 to 2013, direct care nursing hours per resident day have increased at all levels of nursing staff.
From 2009 to 2013, the proportion of skilled nursing care centers receiving five stars has increased from 11.8 percent to 19.6 percent.
The overall trend in resident satisfaction since 2005 has been an increase in satisfaction, indicating that more providers are implementing practices recommended by national quality improvement initiatives.
Research suggests that person-centered care is associated with improved organizational performance, higher residents and staff satisfaction, better workplace performance and higher occupancy rates.

Economic Role of Long Term Care Facilities in Florida

  • Support an estimated $20.2 billion (2.7%) of Florida’s economy
  • Contribute to nearly 259,250 jobs and support $9.1 billion in labor income through employment of both direct caregivers and support staff (i.e, food service, maintenance, social workers)
  • Generate over $2.3 million in state and federal tax revenue
  • Long term care facilities contribute to other businesses through a ripple effect, with each nursing home job resulting in two additional jobs or nearly $5 of added economic activity within a local community.

Future Needs for Long Term Care

  • By 2026, the population of Americans ages 65 and older will double to 71.5 million.
  • Between 2007 and 2015, the number of Americans ages 85 and older is expected to increase by 40 percent.
  • Among people turning 65 today, 69 percent will need some form of long-term care, whether in the community or in a residential care facility.
  • By 2020, 12 million older Americans will need long term health care. (HIAA, "A Guide to Long-Term Care Insurance", 2002)

Reports & Publications